Double Pull Body Brace

ABSTRACT

The double pull body brace comprises a one-piece panel which engages around the torso and overlaps at the front. At the overlap, it is attached to itself by means of a hook-and-loop fastener so that a wide range of adjustment is possible. In the back, spaced cord guides are mounted on said panel. Each cord guide carries a plurality of cord guide lobes. An upper cord is engaged around the upper cord guide lobes, and a lower cord is engaged around the lower cord guide lobes. These cords are separately attached to pull tabs. When donned, the user pulls on the pull tabs to separately adjust upper and lower closure tension of the body brace. When in correct adjustment, the pull tabs are attached in place by hook-and-loop fasteners.

This application is a divisional of patent application Ser. No.10/977726, filed Oct. 28, 2004, which is a divisional of patentapplication Ser. No. 10/440525, filed May 19, 2003 which issued as U.S.Pat. No. 7,001,348 on Feb. 21, 2006, These and all other extrinsicmaterials discussed herein are incorporated by reference in theirentirety.

FIELD OF THE INVENTION

This invention is directed to a lumbar support which is formed by aone-piece wraparound body panel with front closure and a back tighteningsystem. The tightening system has right and left pull tabs whichseparately tighten the upper and lower potions of the body panel.

BACKGROUND OF THE INVENTION

Orthotic devices are provided for partial or substantial immobilizationof the torso to stabilize the back. These orthotic devices are backbraces which can be fitted snugly around the torso. Such back braces areeffective in achieving spinal stability if worn properly. For manyusers, back braces are difficult to appropriately position and fasten.Without being consistently worn and properly adjusted, the effectivenessis substantially reduced. One problem with back braces is their need toconform to the torso as it changes. The torso may change from moment tomoment as the patient moves between the standing and the sittingpositions. In addition, the torso may change over the long termdepending upon the nutritional and exercise habits of the wearer. To befully effective, it is necessary that the back brace be tight. A systemmust be provided which can be easily and accurately adjustable by thewearer to provide both comfort and support in each posture so thatproper spinal support is achieved.

Efforts have been made to provide convenience for the wearer inadjusting the body brace. Chung U.S. Pat. No. 6,322,529 teaches the useof force multiplication to increase closing force, but this isunbalanced. Heinz U.S. Pat. No. 6,213,968 teaches separately tighteningthe top and bottom of his body brace, but this is unbalanced.Furthermore, the Heinz patent teaches the use of a pulley system whichis complicated in the number of parts which brings reliability problemsin service.

SUMMARY OF THE INVENTION

In order to aid in the understanding of this invention, it can be statedin essentially summary form that it is directed to a body brace. Thebody brace has a single one-piece wraparound body panel with anoverlapping front closure thereon. Attachments are made at the back ofthe panel so that two tightening cords sinuously engage upper and lowerportions of the body panel. When these cords are pulled, the body panelis shortened. The cords are arranged so that one cord pulls to the rightto pull the top closed, and the other cord pulls to the left to pull thebottom closed. This is arranged by attaching two upper cord guides onthe single body panel spaced from each other and two lower cord guideson the single body panel spaced from each other. The top cord guideshave lobes thereon around which the top tightening cord extends. Thebottom cord guides have lobes thereon around which the bottom tighteningcord extends. A cap covers the lobes to retain the cords in place.Pockets may be provided for the receipt of stiffeners or temperaturepacks.

It is, thus, a purpose and advantage of this invention to provide aone-piece body brace which wraps around the torso and is secured byoverlapping fasteners to minimize twisting in the plane of thefasteners.

It is a further purpose and advantage of this invention to provide aone-piece body panel wraparound body brace formed of a one-piece bodypanel which engages around the torso of the patient. Upper and lowersinuous cords are engaged on separate top and bottom one-piece moldedcord guides which are laterally spaced from each other and secured ontothe one-piece body panel so that, when the cords are pulled in oppositedirections, the panel is effectively shortened. Separate tightening ofthe upper and lower cords achieves separate tightening of the upper andlower portions of the body panel. Pulling in opposite directionsprovides balance to the pulling forces for beneficial ergonomic effect.

It is a further purpose and advantage of this invention to provide abody brace which is formed of a one-piece wraparound body panel whichhas spaced cord guides attached thereto. These cord guides are molded ofsynthetic polymer material which presents a plurality of cord guidelobes around which the tightening cord is engaged, providing a cordguide system which is simple, lightweight and free of unnecessary movingparts.

It is a further purpose and advantage of this invention to provide aone-piece wraparound body brace which is easy to don and which caneasily be adjusted by the user as he changes position and has a pocketunder the tightening cords which can contain a temperature or cushionpad so that the body brace remains comfortable and yet provides fullsupport as the user moves from one posture to another, due to themechanical advantage of the tightener, so that it can be convenientlyand accurately adjusted by the user, as is needed for comfort andsupport.

It is another purpose and advantage of this invention to provide a bodybrace which can be quickly and easily fitted to the individual so thatthe user can readily take advantages of the comfort and support of aproperly supplied back brace.

Other purposes and advantages of this invention will become apparentfrom a study of the following portion of the specification, the claimsand the attached drawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is an outside view of the double pull body brace of thisinvention in the flat position with the pockets opened and the insertstherein shown in exploded position.

FIG. 2 is a similar view, shown with the pockets closed.

FIG. 3 is a similar view shown with the cords pulled so that the netoverall length of the back brace is reduced.

FIG. 4 is an enlarged exploded view of one of the sets of tighteningcord guides and associated cord.

FIG. 5 is a similar view, showing the cord guide parts in the assembledposition.

FIG. 6 is a left-side view of the double pull body brace on the torso ofthe wearer, showing the tightening of the back brace.

DESCRIPTION OF THE PREFERRED EMBODIMENT

The preferred embodiment of the one-piece back brace of this inventionis generally indicated at 10 in FIGS. 1, 2, 3 and 6. The hack brace 10has a one-piece panel which extends from top edge 14 to bottom edge 16and from right end 18 to left end 20. This orientation is seen by thewearer as he dons the back brace. He holds the back brace behind himwith the right end to his right and the top edge upward and engages itaround his torso. The panel 12 is flexible and easily wraps around historso with the ends overlapping. A hook-and-loop fastener system in theoverlap area engages the left and right ends to hold them as desired.Loop assembly 22 is attached to the outside of the panel 12 adjacent itsend to form the loop panel. A hook panel is secured to the underside ofattachment panel 24 adjacent the right end. The material of theone-piece panel 12 may be synthetic polymer sheet material of goodflexibility or may be a polymer netting material. The panel 12 ispreferably made of flexible, breathable, substantially non-stretchablein the longitudinal direction synthetic polymer mesh fabric. The top andbottom edges of the panel are protected and strengthened by bias tapefolded over and attached at the edges. The wearer places it upon himselfwith the panel 12 in the extended position and pulls the back bracetight around his torso at the position he desires. He can form it intoslightly conical shape before the hook-and-loop system is engagedbecause the hook-and-loop system is amenable to attachment in differentangular positions when the angle is considered in the plane ofattachment.

The pulling tight of the panel around the torso with subsequentattachment of the hook-and-loop fastener system is not sufficient toprovide adequate tension in the back brace. To provide for furthercontrollable tightening, a tightening system is provided. Attachmentstraps 26 and 28 are secured to the outside of panel 12 toward the backand spaced from each other. An upper cord system 30 and a lower cordsystem 32 are mounted on the attachment straps. The upper cord system 30is shown in more detail in FIGS. 4 and 5. Upper left cord guide 34 isattached to the upper half of attachment strap 26, and upper right cordguide 36 is attached to the upper half of attachment strap 28.

The construction of the upper left and upper right cord guides, is bestseen in FIG. 4. The lower cord guides are constructed the same. Theupper left cord guide has an upper left cord guide base 38 which hasthree cord guide lobes 40, 42 and 44 thereon. In addition, the base 38has tie posts 46 and 47. The cord guide lobes are half round and areundercut on their half circumference. The under cut is circular inprofile and is at least as large as the diameter of the cord. The undercuts are smooth so that cord 66 can be engaged therearound and smoothlymoved around the lobes. For smooth movement, it is preferable that thecord guides 34 and 36 be made of a low friction polymer, such as nylonor Teflon. The upper right cord guide 36 is identical to upper left cordguide 34 and also has three cord guide lobes 50, 52 and 54 on its base37. The cord guides are identical for manufacturing reasons, but theyare not used in quite the same way. The cord 66 has an eye thereonengaged over post 49 on cord guide 36. The cord engages around lobe 40,lobe 52 and thence lobe 44 to extend out over the base 37. When the cord66 is pulled to the right, as seen in FIG. 4, the cord guides 34 and 36are pulled together with a 4-to-1 mechanical advantage (neglectingfriction). The cord 66 is preferably a strong cord with low frictioncharacteristics with respect to the cord guide lobes such as nylon.

In order to hold the cords in place on the lobes, caps 56 and 58 areprovided to cover the bases of the cord guides. The caps have half roundrecesses, one of which is seen at 60, to engage over the lobes. Therecess 60 engages on the top of lobe 44 to hold the cord in the undercutbelow the top of lobe 44, see FIG. 5. The caps also hold the cord loopon he post 49. The caps can be attached in any convenient way, such assnap on bosses, by adhesives or welding.

As seen in FIGS. 1, 2 and 3, the above-described upper cord system isattached on the upper part of the attachment straps 26 and 28, leaving aconsiderable space therebetween. An identical system of cord and cordguides, identified as lower cord system 32, is attached to the samestraps 26 and 28, but below them. The upper cord system has its cord 66extending to the right and attached to the right pull tab 68. The rightpull tab 68 has the hook portion of a hook-and-loop attachment system onits underside. It is attachable to band 70 which is the loop portion ofthe hook-and-loop system. In FIGS. 1 and 2, the left pull tab 62 isattached close to the left attachment strap 26 because the distancebetween attachment straps is pulled out to its maximum. Similarly, cord48 is a tightening cord of the lower cord system 32. It is attached to aleft pull tab 62, which has the portion of a hook-and-loop system on itsunderside. It is fastenable in a selected location along band 64, whichcomprises the loop portion of the system. The band 64 is attached to thepanel 12 along its longitudinal center line. The fact that the left andright pull tabs are pulled opposite each other in the back bracetightening process provides substantially balanced pull so as toeliminate the rotation of the back brace around the wearer's torso. Inorder to control the cords 48 and 66, panels 104 and 106 overlie themwhere they come away from the lower and upper cord systems on their wayto the pull tabs. These panels have hooks underneath them to engage uponthe loop fasteners. The cords move under these panels with a smallamount of drag, which is provided by the hook-and-loop fasteners inorder to prevent extraneous looping of the cords with possible tangling.

The back braces are donned with the right and left ends are stretchedout as far away from each other as possible, as seen in FIG. 2. Thepanel is wrapped around the torso and is closed by attaching the hooksunder attachment panel 24 onto the loops of loop assembly 22. In normalfit, the hooks under attachment panel 24 engage in the loop assembly 22.However, for wearers with small torsos, the overlap may be greater. Forthis reason, strips 64, 100 and 102 of loop material extend along theoutside of the back panel inward from the left end loop assembly 22.When the overlap is greater, the hooks under the attachment panel 24engage upon these loop strips 100 and 102. Once the basic positioningand fit are accomplished and the hook-and-loop attachment system of theleft and right end is engaged, the wearer grasps the pull tabs 62 and68, frees them from their hook-and-loop attachment, and pulls laterallywith respect to his body with the right pull tab 68 pulled to the rightand the left pull tab 62 pulled to the left.

As seen in FIG. 6, the tabs are pulled around and across the overlappingfront fastener and are attached on the opposite hook-and-loop fastener.This motion brings the tabs forward to where the wearer can use maximumforce in pulling the body brace into the proper adjustment. Loop 72 hasa loop of ribbon attached to the outer end of the pull tab so that theuser may engage his thumb therethrough for a better grasp on the pulltab 62. Similarly, loop 74 has a ribbon loop attached to the outer endof the right pull tab 68 to make a stronger and more convenient grasp ofthe pull tab during tightening of the double pull body brace 10 on thetorso of the wearer. Since the right pull tab 62 tightens the upper cordsystem and the left pull tab 68 tightens the lower cord system, theupper and lower sections can be adjusted to different tightness toprovide for different body contours and to provide for supportsituations.

The one-piece panel 12 extends from one end to the other of the backbrace and is sufficiently flexible so that, intermediate the attachmentstraps 26 and 28, the panel can wrinkle as the back brace is tightened.In addition, pocket 76 is formed on the panel 12 between the attachmentstraps 26 and 28. Pocket panel 78 is attached to the outside of thepanel 12 on the visible side seen in FIG. 1. It forms a pocket intowhich a cushion pad of polymer foam or a hot or cold pack 80 can beinserted. In addition, foam pad 82 can also inserted into the pocket onthe outside of the cold pack to conserve the chilling effect. The pocket76 carries, on its left and right, strips 84 and 86 of the loop half ofa hook-and-loop fastener. Pocket flap 88 carries the corresponding hookstrips 90 and 92 of the hook-and-loop fastener combination. The strips84 and 86 underlie the cords 48 and 66. When the pocket flap 88 isbrought down from the open position in FIG. 1 to the closed position inFIGS. 2 and 3, the corresponding hook-and-loop strips interengage, andthey interengage over the back and forth path of the cords. This servesto provide cord management. However, the position of the pocket limitsthe amount of closure one can achieve by pulling on the cords. It islimited to the space between the pocket 76 and the attachment straps 26and 28. These are seen in the extended position in FIG. 2 and in thebody brace tightening position in FIG. 3. As previously stated, theportion of the one-piece panel wrinkles up in those zones, but does notcause discomfort to the wearer.

In addition, pockets 94 and 96 are positioned against the left end ofloop assembly 22 adjacent the right end attachment panel 24. These canreceive stiffeners, such as stiffener 98 shown at the left end of FIG. 1if the individual application requires such a device.

This invention has been described in its presently preferred embodiment,and it is clear that it is susceptible to numerous modifications, modesand embodiments within the ability of those skilled in the art andwithout the exercise of the inventive faculty. Accordingly, the scope ofthis invention is defined by the scope of the following claims.

1. A body brace comprising: a panel flexibly extending from a backportion to a front portion of a torso of a wearer; a first cord thatsinuously engages a first plurality of non-rotating upper cord guides,and is disposed to cross a first sagittal plane of the wearer; a secondcord that sinuously engages a second plurality of non-rotating lowercord guides, and is disposed to cross a second sagittal plane of thewearer; and a first pull tab coupled to the first cord and the secondcord, wherein the cords and cord guides are operatively coupled to thebrace such that pulling on the first pull tab re-adjusts upper and lowerportions of the brace about the torso of the wearer.
 2. The body braceof claim 1, wherein the panel is sized and dimensioned to provide anoverlapping front closure while being worn about the torso.
 3. The bodybrace of claim 2, wherein the overlapping front closure comprises hookand loop fasteners.
 4. The body brace of claim 1, wherein the panelcomprises a pocket sized and disposed to accept a hot pack and a coldpack.
 5. The body brace of claim 1, wherein the panel comprises a firstpocket sized and disposed to accept a first stiffener to reinforce thepanel.
 6. The body brace of claim 1, wherein the panel comprises asecond pocket sized and disposed to accept a second stiffener toreinforce the panel.
 7. The body brace of claim 1, wherein the panelcomprises a hook and loop fastener that interengages the first cord andthe second cord to prevent a movement of the first cord and the secondcord.
 8. The body brace of claim 1, wherein the first plurality ofnon-rotating upper cord guides is covered by a cap to cover a base ofthe cord guides.
 9. The body brace of claim 1, wherein the first pulltab comprises a hook fastener and the panel comprises a loop fastener.10. The body brace of claim
 9. wherein the panel's loop fastenercomprises a plurality of parallel strips of loop material.
 11. The bodybrace of claim 1, further comprising: a third cord that sinuouslyengages a third plurality of non-rotating upper cord guides, and isdisposed to cross the first sagittal plane of the wearer; a fourth cordthat sinuously engages a fourth plurality of non-rotating lower cordguides, and is disposed to cross the second sagittal plane of thewearer; and a second pull tab coupled to the third cord and the fourthcord, wherein the cords and cord guides are operatively coupled to thebrace such that pulling on the second pull tab re-adjusts upper andlower portions of the brace about the torso of the wearer.
 12. The bodybrace of claim 11, wherein the first pull tab is designed to be pulledin a substantially opposing direction as the second pull tab.
 13. Thebody brace of claim 11, wherein the first plurality of non-rotatingupper cord guides and the third plurality of non-rotating upper cordguides are adjacent to one another.
 14. The body brace of claim 11,wherein the second plurality of non-rotating upper cord guides and thefourth plurality of non-rotating upper cord guides are adjacent to oneanother.